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公开(公告)号：US09180030B2
公开(公告)日：2015-11-10
申请号：US12332904
申请日：2008-12-11
申请人： David Brocker , William K. Dierking , Alan R. Leewood , Timothy A. M. Chuter , Blayne A. Roeder , Steven J. Charlebois , Richard A. Swift , Sharath Gopalakrishnamurthy , Matthew S. Huser , Jarin Kratzberg , Erik E. Rasmussen , Bent Oehlenschlaeger , Kim Mogelvang Jensen
发明人： David Brocker , William K. Dierking , Alan R. Leewood , Timothy A. M. Chuter , Blayne A. Roeder , Steven J. Charlebois , Richard A. Swift , Sharath Gopalakrishnamurthy , Matthew S. Huser , Jarin Kratzberg , Erik E. Rasmussen , Bent Oehlenschlaeger , Kim Mogelvang Jensen
CPC分类号： A61F2/07 , A61F2/852 , A61F2/856 , A61F2/86 , A61F2/89 , A61F2/915 , A61F2002/065 , A61F2002/075 , A61F2002/825 , A61F2002/8486 , A61F2002/91516 , A61F2002/91566 , A61F2220/0016 , A61F2220/0075 , A61F2230/0013
摘要： A stent for use in a medical procedure having opposing sets of curved apices, where the curved section of one set of apices has a radius of curvature that is greater than the curved section of the other set of apices. One or more such stents may be attached to a graft material for use in endovascular treatment of, for example, aneurysm, thoracic dissection, or other body vessel condition.
摘要翻译： 一种用于医疗过程的支架，其具有相对的一组曲面顶点，其中一组顶点的弯曲部分的曲率半径大于另一组顶点的弯曲部分。 一个或多个这样的支架可以附着到移植物材料上，以用于血管内治疗例如动脉瘤，胸部解剖或其它身体血管状态。
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公开(公告)号：US09011517B2
公开(公告)日：2015-04-21
申请号：US12912175
申请日：2010-10-26
CPC分类号： A61F2/07 , A61F2/89 , A61F2002/061 , A61F2220/0075
摘要： A stent graft has a tubular side arm which can be angled proximally and distally and from side to side. The wall of the stent graft in the vicinity of the side arm has a loose fold of the graft material and the side arm is fastened to the loose fold of graft material. The tubular side arm has an inner end and an outer end and is fastened into the loose fold of graft material by a circumferential fastening around the tubular side arm between the inner end and the outer end so that the tubular side arm extends partially within the tubular body of the stent graft and partially outside the tubular body of the stent graft. The loose fold of graft material can be formed by the graft material defining a recess in the wall of the stent graft. To enable movement or angulation proximally and distally and from side to side the loose fold of graft material is provided both proximally and distally of the tubular side arm and circumferentially to each side of the tubular side arm.
摘要翻译： 支架移植物具有管状侧臂，其能够在近端和远端并且从一侧到另一侧成角度。 在侧臂附近的支架移植物的壁具有移植材料的松散折叠，并且侧臂被紧固到移植物材料的松散褶皱上。 管状侧臂具有内端和外端，并且通过在内端和外端之间围绕管状侧臂的周向紧固而紧固到移植材料的松动折叠中，使得管状侧臂部分地在管状侧壁内延伸 支架植入物的主体和部分在支架移植物的管状体外部。 接枝材料的松散折叠可以通过在支架移植物的壁中限定凹部的移植材料形成。 为了使近端和远端以及从一侧到另一侧的移动或角度，移植材料的松散折叠被提供在管状侧臂的近端和远端，并且周向地设置在管状侧臂的每一侧。
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公开(公告)号：US08876849B2
公开(公告)日：2014-11-04
申请号：US13170843
申请日：2011-06-28
CPC分类号： A61B17/12022 , A61B17/12113 , A61B17/12172
摘要： An endoluminal device for repairing an aortic dissection and preventing future aortic dissections, the device including a plurality of struts with at least one of the plurality of struts having a mid-strut portion having two or more secondary struts, the device being configured to be secured within a false lumen of the aorta and contain filler material in order to encourage thrombosis within the false lumen.
摘要翻译： 一种用于修复主动脉夹层并防止未来主动脉夹层的腔内装置，所述装置包括多个支柱，所述多个支柱中的至少一个支柱具有具有两个或多个次要支柱的中间支柱部分，所述装置被构造成固定 在主动脉的假腔中，并且包含填充材料以便促进假腔内的血栓形成。
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公开(公告)号：US08795349B2
公开(公告)日：2014-08-05
申请号：US13213349
申请日：2011-08-19
CPC分类号： A61F2/07 , A61F2/856 , A61F2/89 , A61F2002/061 , A61F2002/065 , A61F2002/075 , A61F2002/821 , A61F2220/005 , A61F2220/0075 , A61F2230/005 , A61F2230/0054 , A61F2230/0067
摘要： The present disclosure relates to an endoluminal prosthesis, such as a stent graft that includes one or more fenestrations to accommodate endovascular disease, such as an aneurysm in cases where one or more side branches is involved. In one aspect, the prosthesis includes fenestrations that are pivotable to accommodate the dynamic geometry of the aortic branches.
摘要翻译： 本公开涉及一种腔内假体，例如包括一个或多个开窗以适应血管内疾病的支架移植物，例如涉及一个或多个侧枝的情况下的动脉瘤。 在一个方面，假体包括可枢转以适应主动脉分支的动态几何形状的开窗。
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公开(公告)号：US08702786B2
公开(公告)日：2014-04-22
申请号：US13408278
申请日：2012-02-29
CPC分类号： A61F2/07 , A61F2/89 , A61F2002/061 , A61F2002/821 , A61F2220/005 , A61F2220/0075 , A61F2230/005 , A61F2230/0054 , A61F2230/0067 , A61F2250/0039
摘要： The present disclosure relates to an endoluminal prosthesis, such as a stent graft that includes one or more fenestrations to accommodate endovascular disease, such as an aneurysm in cases where one or more side branches is involved. In one aspect, the prosthesis includes fenestrations that are pivotable to accommodate the dynamic geometry of the aortic branches. In another aspect, the pivotable fenestrations include a first perimeter, a band of flexible material attached and surrounding the first perimeter, and a second perimeter attached to and surrounding the band of flexible material. The first perimeter, band of flexible material, and second perimeter have a geometric shape.
摘要翻译： 本公开涉及一种腔内假体，例如包括一个或多个开窗以适应血管内疾病的支架移植物，例如涉及一个或多个侧枝的情况下的动脉瘤。 在一个方面，假体包括可枢转以适应主动脉分支的动态几何形状的开窗。 在另一方面，可枢转的窗口包括第一周边，附接并围绕第一周边的柔性材料带，以及附接到柔性材料带并围绕柔性材料带的第二周边。 第一周边的柔性材料带和第二周边具有几何形状。
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公开(公告)号：US08679173B2
公开(公告)日：2014-03-25
申请号：US13257073
申请日：2010-03-15
IPC分类号： A61F2/82
摘要： A hybrid stent (100) includes at least one resilient ring (105) comprising a superelastic wire (102) formed in a sinusoidal pattern of alternating crests (110) and troughs (115) about a circumference of the ring (105). A plurality of malleable cannula segments (120) overlie the superelastic wire at the crests and troughs. Each of the cannula segments (120) includes a bend (125) and has an inner diameter sized to allow relative motion between the wire (102) and the cannula segment (120). The hybrid stent (100) may also include a plurality of gaps (130), where each gap (130) is defined by a spacing between opposing cannula segments (120). Deformation of the malleable cannula segments (120) dominates a response of the stent to substantially uniform radial forces, and deformation of the resilient ring (105) dominates a response of the stent to radially nonuniform crushing forces.
摘要翻译： 混合支架（100）包括至少一个弹性环（105），弹性环包括围绕环（105）的圆周以交替的波峰（110）和槽（115）形成的正弦图案的超弹性线（102）。 多个可延展的套管段（120）覆盖在顶部和凹槽处的超弹性线。 插管段（120）中的每一个包括弯曲部（125），并具有尺寸设定成允许线（102）和套管段（120）之间的相对运动的内径。 混合支架（100）还可以包括多个间隙（130），其中每个间隙（130）由相对的套管段（120）之间的间隔限定。 可塑性插管段（120）的变形支配支架基本上均匀的径向力的响应，并且弹性环（105）的变形支配支架对径向不均匀的破碎力的响应。
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公开(公告)号：US08672993B2
公开(公告)日：2014-03-18
申请号：US12732542
申请日：2010-03-26
IPC分类号： A61F2/06
CPC分类号： A61F2/07 , A61F2/89 , A61F2/91 , A61F2002/061 , A61F2002/065 , A61F2002/075 , A61F2230/0013 , A61F2230/0067 , A61F2250/0039
摘要： A stent graft for endovascular introduction into the pararenal region of the descending aorta. The stent graft has an elongate tubular body (10) with a proximal portion (12), a distal portion (16) of a diameter less than the proximal portion and a tapered central portion (14). A notional transverse clock face on the tubular body has 12 o'clock at a notional anterior longitudinal datum line. The stent graft has a scalloped cut out (26) centered at about 12:30 o'clock and a fenestration (28) at about 12:00 o'clock in the proximal portion and first and second fenestration assemblies which can be low profile side arms at about 2:15 o'clock and about 10:00 o'clock in the tapered central portion. The tapered central portion can have an arcuate side wall (30) so that the tapered portion has an outer face which is concave.
摘要翻译： 用于血管内引入下降主动脉的肾上腺区域的支架移植物。 支架移植物具有细长的管状体（10），其具有近端部分（12），直径小于近端部分的远端部分（16）和锥形中心部分（14）。 管状体上的名义横向钟表面在名义上的纵向基准线上有12点钟。 支架移植物具有以约12:30为中心的扇形切口（26）和近端部分的约12:00点处的开窗（28），以及可以是低轮廓侧的第一和第二开窗组件 在锥形中心部分约2:15时和大约10:00点的臂。 锥形中心部分可以具有弓形侧壁（30），使得锥形部分具有凹面的外表面。
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公开(公告)号：US08663306B2
公开(公告)日：2014-03-04
申请号：US13635573
申请日：2011-03-18
IPC分类号： A61F2/06
CPC分类号： A61F2/07 , A61F2/89 , A61F2/954 , A61F2/962 , A61F2002/061 , A61F2002/9511 , A61F2002/9665 , A61M25/09041 , A61M29/02
摘要： A stent graft delivery device (1) has an elongated extension piece (20) extending from its proximal end of the introducer portion (3). The elongate extension piece is selectively separable from the introducer portion. A plurality of auxiliary guide wires (50) extend from through the stent graft delivery device and through the elongate extension piece. The auxiliary guide wires can cross over at the proximal end of the extension piece and return. The stent graft delivery device can be introduced into a patient via a femoral artery and the elongated extension piece can extend out an artery of the thoracic arch whereby to extend the auxiliary guide wires out of such an artery to give through and through guide wires. Catheterization of pararenal arteries is then possible via a brachial route.
摘要翻译： 支架移植物输送装置（1）具有从其引导器部分（3）的近端延伸的细长延伸件（20）。 细长延伸件可选择性地与导引器部分分离。 多个辅助导丝（50）从穿过支架移植物递送装置延伸并且通过细长延伸件延伸。 辅助导丝可以在延伸件的近端处交叉并返回。 支架移植物输送装置可以经由股动脉引入患者体内，并且细长的延伸件可以延伸出胸廓弓的动脉，从而将辅助导丝延伸出这样的动脉以通过并通过导丝。 然后可以通过肱动脉途径对肾动脉进行导管。
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公开(公告)号：US20130030514A1
公开(公告)日：2013-01-31
申请号：US13635573
申请日：2011-03-18
IPC分类号： A61B17/84
CPC分类号： A61F2/07 , A61F2/89 , A61F2/954 , A61F2/962 , A61F2002/061 , A61F2002/9511 , A61F2002/9665 , A61M25/09041 , A61M29/02
摘要： A stent graft delivery device (1) has an elongated extension piece (20) extending from its proximal end of the introducer portion (3). The elongate extension piece is selectively separable from the introducer portion. A plurality of auxiliary guide wires (50) extend from through the stent graft delivery device and through the elongate extension piece. The auxiliary guide wires can cross over at the proximal end of the extension piece and return. The stent graft delivery device can be introduced into a patient via a femoral artery and the elongated extension piece can extend out an artery of the thoracic arch whereby to extend the auxiliary guide wires out of such an artery to give through and through guide wires. Catheterization of pararenal arteries is then possible via a brachial route.
摘要翻译： 支架移植物输送装置（1）具有从其引导器部分（3）的近端延伸的细长延伸件（20）。 细长延伸件可选择性地与导引器部分分离。 多个辅助导丝（50）从穿过支架移植物递送装置延伸并且通过细长延伸件延伸。 辅助导丝可以在延伸件的近端处交叉并返回。 支架移植物输送装置可以经由股动脉引入患者体内，并且细长的延伸件可以延伸出胸廓弓的动脉，从而将辅助导丝延伸出这样的动脉以通过并通过导丝。 然后可以通过肱动脉途径对肾动脉进行导管。
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公开(公告)号：US20110264192A1
公开(公告)日：2011-10-27
申请号：US12894864
申请日：2010-09-30
IPC分类号： A61F2/82
CPC分类号： A61F2/07 , A61F2/89 , A61F2002/075 , A61F2220/005 , A61F2220/0075
摘要： A curve forming stent graft for curved vessels such as the thoracic arch. The stent graft has a tubular body zig zag self expanding stents fastened to and supporting the tubular body. The zig zag self expanding stents comprising struts and points between adjacent struts thereby defining proximal end points and distal end points. A temporary diameter constriction arrangement associated with the least some of the plurality of zig zag self expanding stents comprises a pair of adjacent distal end points being releasably retained adjacent each other whereby at rest the tubular body of the stent graft is in a substantially sawtooth form and when released in a curved configuration a distal end point of a stent overlaps a proximal end point of a distally adjacent stent to facilitate curvature of the stent graft in a curved vessel.
摘要翻译： 曲线形成支架移植物用于弯曲血管如胸廓弓。 支架移植物具有固定并支撑管状体的管状体Z字形自扩张支架。 锯齿形自扩张支架包括支柱和相邻支柱之间的点，从而限定近端点和远端点。 与多个Z形自扩张支架中的至少一些相关联的临时直径收缩装置包括一对相邻的远端点，其彼此相邻地可释放地保持，由此在支架的静止时，支架移植物的管状体基本上是锯齿状的，并且 当以弯曲构造释放时，支架的远端点与远侧相邻支架的近端点重叠，以有利于支架移植物在弯曲血管中的曲率。
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